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内镜下修复臀中肌部分撕裂：使用缝合锚钉的吻合器配置

Endoscopic Repair of Partial Gluteus Medius Tear: Staple Configuration With Suture Anchors.

作者信息

Park Nancy, Surucu Serkan, Mahatme Ronak, Kardestuncer Kian, Patel Seema, Jimenez Andrew

机构信息

Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut, U.S.A.

Department of Orthopedic Surgery, University of Connecticut, Farmington, Connecticut, U.S.A.

出版信息

Arthrosc Tech. 2024 Feb 8;13(5):102929. doi: 10.1016/j.eats.2024.102929. eCollection 2024 May.

DOI:10.1016/j.eats.2024.102929
PMID:38835474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11144733/
Abstract

Tears of the gluteus medius and minimus have emerged as significant contributors to lateral hip pain and functional impairment. Surgical intervention reliably delivers pain alleviation and ability to return to activities. Nevertheless, conventional open procedures entail substantial incisions, extensive tissue damage, and protracted recovery. Endoscopic approaches have provided minimally invasive alternative strategies. This Technical Note details a method for addressing partial gluteus medius tears by recreating the hip abductor tendon insertion footprint and employing a bioinductive patch to promote wound healing.

摘要

臀中肌和臀小肌撕裂已成为导致髋关节外侧疼痛和功能障碍的重要因素。手术干预能可靠地缓解疼痛并恢复活动能力。然而，传统的开放手术需要大切口、广泛的组织损伤和漫长的恢复时间。内镜手术方法提供了微创替代策略。本技术说明详细介绍了一种通过重建髋外展肌腱附着点足迹并使用生物诱导贴片促进伤口愈合来治疗部分臀中肌撕裂的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/fa5234ee3349/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/1cda3b8bb4a6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/b40cd1d19c2b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/099f81d5defd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/ce638b27f3ef/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/fa5234ee3349/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/1cda3b8bb4a6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/b40cd1d19c2b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/099f81d5defd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/ce638b27f3ef/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d14f/11144733/fa5234ee3349/gr5.jpg

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本文引用的文献

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Gluteus Maximus Transfer for Hip Abductor Deficiency.臀大肌转移术治疗髋关节外展肌缺失
Arthrosc Tech. 2023 Apr 16;12(5):e671-e676. doi: 10.1016/j.eats.2023.01.002. eCollection 2023 May.
2
Endoscopic Gluteus Medius Repair.内镜下臀中肌修复术
Arthrosc Tech. 2022 Sep 17;11(10):e1787-e1791. doi: 10.1016/j.eats.2022.06.015. eCollection 2022 Oct.
3
Both open and endoscopic gluteal tendon repairs lead to functional improvement with similar failure rates: a systematic review.开放和内镜臀肌腱修复术均可改善功能，且失败率相似：系统评价。
J ISAKOS. 2021 Jan;6(1):28-34. doi: 10.1136/jisakos-2020-000474. Epub 2020 Sep 24.
4
Repair of Symptomatic Partial Gluteus Medius Tear During Total Hip Arthroplasty Through the Direct Anterior Approach.全髋关节置换术中经直接前路入路修复有症状的臀中肌部分撕裂
Arthrosc Tech. 2021 Jan 16;10(2):e575-e580. doi: 10.1016/j.eats.2020.10.043. eCollection 2021 Feb.
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Hip Pain in Adults: Evaluation and Differential Diagnosis.成人髋关节疼痛：评估与鉴别诊断。
Am Fam Physician. 2021 Jan 15;103(2):81-89.
6
Endoscopic Gluteus Medius and Minimus Repair With Allograft Augmentation Using Acellular Human Dermis.使用脱细胞人真皮同种异体移植物增强的内镜下臀中肌和臀小肌修复术
Arthrosc Tech. 2018 Feb 12;7(3):e225-e230. doi: 10.1016/j.eats.2017.08.073. eCollection 2018 Mar.
7
Outcomes of Open Versus Endoscopic Repair of Abductor Muscle Tears of the Hip: A Systematic Review.髋关节外展肌撕裂的开放修复与内镜修复的疗效：一项系统评价
Arthroscopy. 2015 Oct;31(10):2057-67.e2. doi: 10.1016/j.arthro.2015.03.042. Epub 2015 May 29.
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Outcomes after primary open or endoscopic abductor tendon repair in the hip: a systematic review of the literature.髋关节原发性开放性或内镜下外展肌腱修复术后的疗效：文献系统评价
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Abductor mechanism tears in primary total hip arthroplasty.原发性全髋关节置换术中的外展肌机制撕裂。
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